| LCA CASE NUMBER | I-200-23180-155493 |
| STATUS | Certified |
| LCA CASE SUBMIT | 2023-06-29 |
| DECISION DATE | 2023-07-07 |
| VISA CLASS | H-1B |
| LCA CASE JOB TITLE | Associate Dentist |
| SOC CODE | 29-1021.00 |
| SOC TITLE | Dentists, General |
| FULL TIME POSITION | True |
| LCA CASE EMPLOYMENT START DATE | 2023-09-15 |
| END DATE | 2026-09-14 |
| TOTAL WORKER POSITIONS | 1 |
| NEW EMPLOYMENT | 0 |
| CONTINUED EMPLOYMENT | 0 |
| CHANGE PREVIOUS EMPLOYMENT | 1 |
| NEW CONCURRENT EMPLOYMENT | 0 |
| CHANGE EMPLOYER | 0 |
| AMENDED PETITION | 0 |
| LCA CASE EMPLOYER NAME | Revital Dental PLLC. |
| TRADE NAME DBA | Revital Dental |
| EMPLOYER ADDRESS1 | 4311 S, 31st Street |
| EMPLOYER ADDRESS2 | Ste 145 |
| EMPLOYER CITY | Temple |
| EMPLOYER STATE | TX |
| EMPLOYER POSTAL CODE | 76502 |
| EMPLOYER COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER PHONE | 12542275777 |
| NAICS CODE | 621210 |
| EMPLOYER POC LAST NAME | Kondragunta |
| EMPLOYER POC FIRST NAME | Suman |
| EMPLOYER POC MIDDLE NAME | K |
| EMPLOYER POC JOB TITLE | Managing Member |
| EMPLOYER POC ADDRESS1 | 4311 S., 31 Street |
| EMPLOYER POC ADDRESS2 | Ste 145 |
| EMPLOYER POC CITY | Temple |
| EMPLOYER POC STATE | TX |
| EMPLOYER POC POSTAL CODE | 76502 |
| EMPLOYER POC COUNTRY | UNITED STATES OF AMERICA |
| EMPLOYER POC PHONE | 12542275777 |
| EMPLOYER POC EMAIL | sumankondragunta@gmail.com |
| AGENT REPRESENTING EMPLOYER | True |
| AGENT ATTORNEY LAST NAME | REDDY |
| AGENT ATTORNEY FIRST NAME | PRASHANTHI |
| AGENT ATTORNEY MIDDLE NAME | K |
| AGENT ATTORNEY ADDRESS1 | 330 West 38th Street |
| AGENT ATTORNEY ADDRESS2 | Suite 506 |
| AGENT ATTORNEY CITY | New York |
| AGENT ATTORNEY STATE | NY |
| AGENT ATTORNEY POSTAL CODE | 10018 |
| AGENT ATTORNEY COUNTRY | UNITED STATES OF AMERICA |
| AGENT ATTORNEY PHONE | 12123541010 |
| AGENT ATTORNEY EMAIL ADDRESS | nizam@reddyesq.com |
| LAWFIRM NAME BUSINESS NAME | LAW OFFICES OF PRASHANTHI REDDY, PLLC |
| STATE OF HIGHEST COURT | NY |
| NAME OF HIGHEST STATE COURT | Court of Appeals |
| WORKSITE WORKERS | 1 |
| SECONDARY ENTITY | False |
| WORKSITE ADDRESS1 | 4311 S., 31st Street (Supporting from petitioner office) |
| WORKSITE ADDRESS2 | Ste 145 |
| LCA CASE WORKLOC1 CITY | Temple |
| WORKSITE COUNTY | BELL |
| LCA CASE WORKLOC1 STATE | TX |
| WORKSITE POSTAL CODE | 76502 |
| LCA CASE WAGE RATE FROM | 129000 |
| LCA CASE WAGE RATE UNIT | Year |
| PREVAILING WAGE | 128835 |
| PW UNIT OF PAY | Year |
| PW WAGE LEVEL | II |
| PW OES YEAR | 7/1/2022 - 6/30/2023 |
| TOTAL WORKSITE LOCATIONS | 1 |
| AGREE TO LC STATEMENT | True |
| H 1B DEPENDENT | False |
| WILLFUL VIOLATOR | False |
| PUBLIC DISCLOSURE | Disclose Business |
| PREPARER LAST NAME | Reddy |
| PREPARER FIRST NAME | Prashanthi |
| PREPARER MIDDLE INITIAL | K |
| PREPARER BUSINESS NAME | Law Offices of Prashanthi Reddy, PLLC. |
| PREPARER EMAIL | prashanthi@reddyesq.com |
